摘要
目的:探讨泻阴补阳针刺法结合任务导向性镜像疗法(TOMT)治疗脑卒中后足内翻临床疗效。方法:将81例患者按照随机数字表法分为镜像组、普通针刺组和针刺补泻组,每组各27例,3组患者均采用常规康复训练及治疗,镜像组行TOMT治疗,普通针刺组在镜像组基础上加用普通针刺治疗,针刺补泻组在普通针刺基础上加用泻阴补阳法,1次/d,每周5次,连续治疗6周。3组患者于治疗前后分别采用足内翻角度、简化Fugl-Meyer运动功能评定量表(FMA)下肢部分、改良Ashworth痉挛量表(MAS)以及改良Barthel指数(MBI)评定足内翻角度改善情况、下肢运动功能、小腿踝跖屈肌群肌张力及日常生活活动能力,并对比3组临床疗效。结果:3组患者治疗后足内翻角度、FMA评分和MBI评分均优于治疗前,差异具有统计学意义(P<0.01),针刺补泻组治疗后MAS评分优于治疗前,差异具有统计学意义(P<0.01)。治疗后,针刺补泻组的足内翻角度、FMA评分及MAS评分、MBI评分和临床疗效均优于镜像组和普通针刺组,差异具有统计学意义(P<0.05或P<0.01);普通针刺组的足内翻角度、FMA评分与MBI评分优于镜像组,差异具有统计学意义(P<0.01或P<0.05)。结论:泻阴补阳针刺法结合TOMT治疗脑卒中后足内翻有显著的疗效,可明显改善足内翻角度,缓解小腿踝跖屈肌群肌张力,提高患者下肢运动功能、平衡协调功能及日常生活活动能力,值得临床广泛应用和推广。
Objective:To explore the clinical effect of Yin-reducing and Yang-supplementing acupuncture combined with task-oriented mirror therapy(TOMT)in treatment of post-stroke strephenopodia.Methods:81 patients were randomly divided into the mirror group,the ordinary acupuncture group,the Yin-reducing and Yang-supplementing acupuncture group,with 27 cases in each group.In the three groups,all patients received routine rehabilitation training and other comprehensive treatments.The mirror group received TOMT treatment;on which basis,the ordinary acupuncture group was also treated with ordinary needling,and the Yin-reducing and Yang-supplementing acupuncture group was also treated with Yin-reducing and Yang-supplementing needling,once a day,5 times a week,for 6 consecutive weeks.The strephenopodia angle and the scores of FMA,MAS and MBI were observed to evaluate the improvements of strephenopodia,lower limb function and daily living activities.The clinical efficacy was compared among the three groups.Results:The strephenopodia angle and the scores of FMA and MBI were better after the treatment than those before the treatment in the three groups(P<0.01),and the MAS score was better the after treatment than that before the treatment in the Yin-reducing and Yang-supplementing acupuncture group(P<0.01).The strephenopodia angle and the scores of FMA,MAS and MBI were better in the Yin-reducing and Yang-supplementing acupuncture group than those in the mirror group and the ordinary acupuncture group(P<0.05,P<0.01);the strephenopodia angle,the scores of FMA and MBI were better in the ordinary acupuncture group than those in the mirror group(P<0.05,P<0.01).Conclusion:Yin-reducing and Yang-supplementing acupuncture combined with TOMT has a significant therapeutic effect on post-stroke strephenopodia,which can effectively improve strephenopodia angle,relieve muscle tension of the lower limb ankle plantar flexor group,enhance lower limb motor function,balance coordination function and activity ability of daily living of patients.The therapy is worthy of extensive application and promotion.
作者
黄灵慧
王继兵
尹正录
曹星星
吴家昊
陈波
孟兆祥
HUANG Linghui;WANG Jibing;YIN Zhenglu;CAO Xingxing;WU Jiahao;CHEN Bo;MENG Zhaoxiang(Northern Jiangsu People's Hospital,Yangzhou 225001,China)
出处
《针灸临床杂志》
2024年第7期37-42,共6页
Journal of Clinical Acupuncture and Moxibustion
基金
国家卫生健康委脑卒中防治工程,编号:GN-2018R0010。
关键词
泻阴补阳
任务导向性镜像疗法
脑卒中
足内翻
Yin-reducing and Yang-supplementing
Task-oriented mirror therapy
Stroke
Strephenopodia
